Presentation on theme: "Patient Safety Conference National Clinical Effectiveness Committee"— Presentation transcript:
1 Patient Safety Conference National Clinical Effectiveness Committee Dr Kathleen Mac Lellan7th November 2014
2 Clinical Effectiveness The extent to which specific clinicalinterventions do what they are intended to do.The Right careIn the Right placeAt the Right timeWith the Right informationWithin available resourcesThe extent to which specific clinical interventions do what they are intended to do, i.e. maintain and improve the health of patients securing the greatest possible health gain from the available resources (NHS Quality Improvement Scotland (NHS QIS 2005)Clinical effectiveness is thinking critically about what you do, questioning whether it is having the desired result, making a change to practice. It is based on evidence of what is effective in order to improve patient care and experience.
3 National Clinical Effectiveness Committee (NCEC) Patient Safety First InitiativeMinisterial Committee – key stakeholdersToR - Prioritisation and Quality Assurance of National Clinical Guidelines and AuditVisionSuiteNational Clinical GuidelinesNational Clinical AuditStandardsClinical Practice Guidance
4 Clinical Guidelines“Systematically developed statements, based on a thorough evaluation of the evidence, to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances, across the entire clinical spectrum”Provide guidance and standards for improving the safety, quality and cost effectiveness of care across healthcare services in IrelandImplementation provides for a model of care that can reduce variability and improve quality of patient decisionsImplementation supports services in providing consistent evidence-based healthcare
5 Endorsement of National Clinical Guidelines Prioritisation CriteriaBurden of clinical topicEvidence analysisEconomic impactVariability in practicePotential for addressinghealth IssuesClinical guideline ImplementationSTEP 1Clinical Guideline Development GroupSubmission of Clinical Guidelineto the NCECSTEP 3NCECPrioritisation ofClinical GuidelineSTEP 4Quality assuranceof Clinical GuidelineSTEP 5Decision to recommend Clinical Guideline for endorsementDissemination, communication, implementation and audit of National Clinical GuidelineSTEP 2Clinical Guideline Screening ProcessMinister for HealthEndorsement of National Clinical GuidelineFeedback to Guideline Development GroupsQuality Assurance CriteriaFeasibilityScope and purposeRigour of developmentStakeholder involvementApplicability/implementabilityClarity of presentationEditorial independenceGuideline development group convenesVia clinical programmes or other institutional linksMethodology & format variesGuidelines submitted to NCEC (with checklist)Prioritised +/- appraisal by NCECFeedback, if approved, endorsedTime period, from submission to endorsement- minimum is 3/12 – (though likely much longer due to guideline development group needing to do edits)Convening of guideline groupTender or call for specific guidelineOn-line liaison & registration to avoid duplication & confusionMulti-disciplinary & comprehensive representationGuidelines conform to NCEC template, including literature search, recommendation grading, consultation exercise, etc.Time period for development 1-2 yearsSubmitted to NCEC - prioritised, +/- appraisalFeedback; if approved, endorsedTime period, minimum 3/12 from submission to endorsement
9 National Clinical Guidelines – Implementation Ministerial endorsement – health policyHSE governance - Accountability Frameworks, HSE Service Plan, National KPIs (implementation and impact).RegulationHIQA - National Standards for Safer Better HealthcareProfessional regulatorsFuture licensing requirementsAlignment with Clinical Indemnity SchemeHealth insurersInformed patients
10 Commissioned National Clinical Guidelines Sepsis Management NCEC Symposium 26th Nov 2014Commissioned National Clinical GuidelinesSepsis ManagementChair Dr V HamiltonChair NSSC Dr F FitzpatrickMaternity Early Warning SystemChair Prof M TurnerPaediatric Early Warning SystemChair Dr J FitzsimonsClinical HandoverChair Ms E Croke (Maternity services)Chair Ms E Croke and Dr C Henry (Acute hospitals)
11 2015 National Clinical Guidelines Clinical Practice Guidance Establish Clinical Audit FunctionBuild Capacity(programme of education; social media)National and International PartnershipsAsthmaPalliative care - cancer pain; constipationCancer care – breast, prostate , gestational trophoblastic disease2015
12 Where will future guidelines come from? Planning for 2015+Users – based on need e.g. clinical programmesDriven by overall health prioritiesNCEC Prioritisation ConsiderationsPatient Safety IssueBurden of diseaseEvidence analysisEconomic impactVariability in practicePotential for health improvementClinical guideline implementationWeighting of CriteriaEverything cannot be accomplished at onceUncertainty about the best use of resourcesSpecific improvement goals are sought
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